LAKE WORTH PEDIATRICS
NPI 1588636450
Pediatrics in Palm Springs, FL

Active since February 06, 2006CLIA 10D0977465 · Waiver
3112 S CONGRESS AVE, STE A, PALM SPRINGS, FL 33461(561) 964-0110(561) 964-0401 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Worth Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE WORTH PEDIATRICS (NPI 1588636450) is a healthcare organization registered as a pediatrics in Palm Springs, Florida and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Nagarakere Shankaraiah, Administrator, as its authorized official.

NPPES Registry Identity

NPI1588636450
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNAGARAKERE SHANKARAIAH MD
Location Address3112 S CONGRESS AVE, STE APalm Springs, FL 33461
Mailing Address3112 S Congress Ave, Ste APalm Springs, FL 33461 · (561) 964-0110 · Fax (561) 964-0401
Fax(561) 964-0401
Organization SubpartNo
Authorized OfficialNagarakere ShankaraiahAdministrator · (561) 964-0110
Enumeration DateFebruary 6, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1588636450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in FL · ME57808
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3112 S CONGRESS AVE, Palm Springs, FL 33461

Other Names 1

Doing Business AsLake Worth Pediatrics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0977465

Lake Worth Pediatrics · Palm Springs, FL
Active · expires Aug 27, 2026
CLIA Number10D0977465
Laboratory TypeOther
Certificate Effective DateAugust 28, 2024
Certificate Expiration DateAugust 27, 2026
Laboratory DirectorNagarakere Shankaraiah MD
Laboratory Phone(561) 964-0110
Laboratory LocationLake Worth Pediatrics3112 South Congress Ave Ste A, Palm Springs, FL 33461
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
3112 S CONGRESS AVE, SUITE B
PALM SPRINGS, FL 33461
Pediatrics
3112 S CONGRESS AVE, SUITE A
PALM SPRINGS, FL 33461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nagarakere Shankaraiah MD's NPI number?

The NPI number for Nagarakere Shankaraiah MD is 1588636450. It was assigned to this organization in the NPPES registry on February 6, 2006. The provider is doing business as Lake Worth Pediatrics.

Where is Nagarakere Shankaraiah MD located?

Nagarakere Shankaraiah MD is located at 3112 S Congress Ave Ste A, Palm Springs, FL 33461. The listed phone number is (561) 964-0110.

What is Nagarakere Shankaraiah MD's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Nagarakere Shankaraiah MD hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0977465) is associated with this NPI, valid through August 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nagarakere Shankaraiah MD accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Nagarakere Shankaraiah MD as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nagarakere Shankaraiah MD was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.